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Ambulatory Coder III
Prisma HealthAmbulatory Coder III responsible for abstracting and validating CPT, ICD-10, and HCPCS codes for Prisma Health. Perform various coding-related tasks while adhering to compliance guidelines.
About the role
Key responsibilities & impact- Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings
- Adheres to all coding and compliance guidelines
- Maintains knowledge of coding/billing updates and payer specific coding guidelines
- Serves as a subject matter expert for assigned specialty
- Communicates billing related issues to assigned supervisor/manager
- Participates in coding educational opportunities (webinars, in house training, etc.)
- Provides feedback to providers in order to clarify and resolve coding concerns
- Resolves assigned pre-billing edits
- Assists in identifying areas that require additional training
- Mentors and assists in training other coders and new team members
Requirements
What you’ll need- High School diploma or equivalent
- Associate degree preferred
- Five (5) years professional fee coding experience
- Certified Professional Coder (CPC)
- Specialty Certification from AAPC that correlates with assigned specialty
- Maintain knowledge of governmental and commercial payer guidelines
- Knowledge of office equipment (fax/copier)
- Proficient computer skills including word processing, spreadsheets, database
- Data entry skills
- Mathematical skills
Benefits
Comp & perks- Inspire health
- Serve with compassion
- Be the difference
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
CPT codingICD-10 codingHCPCS codingfee codingdata entrymathematical skills
Soft Skills
communicationmentoringproblem-solving
Certifications
Certified Professional Coder (CPC)Specialty Certification from AAPC